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Not yet recruitingNCT07867470Updated Oct 9, 2026

TROPION Breast Respond in 1L TNBC

An observational study in Unresectable Triple-negative Breast Cancer and Metastatic Triple-negative Breast Cancer, sponsored by Daiichi Sankyo Europe, GmbH, a Daiichi Sankyo Company. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Daiichi Sankyo Europe, GmbH, a Daiichi Sankyo Company (part of Daiichi Sankyo) · Observational

Updated Oct 9, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
400
Ages
18 Years and older
Sex
All
01

Study summary

There are no real-world data available on the effectiveness and safety of Dato-DXd in adult patients with unresectable or metastatic triple-negative breast cancer who are not candidates for PD-1/PD-L1 inhibitor therapy. This NIS will investigate the effectiveness of Dato-DXd, the demographic and clinical characteristics of the patients, and treatment patterns.

Read the detailed description

This is a multi-center, multi-country, prospective, NIS that will collect real-world clinical data on effectiveness, safety and patient reported tolerability data on oral mucositis/stomatitis and ocular surface events by using linguistically validated diaries from adult patients with unresectable or metastatic triple-negative breast cancer who are not candidates for PD-1/PD-L1 inhibitor therapy. In addition, data on quality of life will be collected using validated patient reported outcomes (EQ5D-5L, EQ-VAS).

02

Conditions studied

  • Unresectable Triple-negative Breast Cancer
  • Metastatic Triple-negative Breast Cancer

Keywords

  • Unresectable triple-negative breast cancer
  • Metastatic triple-negative breast cancer
  • Dato-DXd
03

In context

Triple Negative Breast Neoplasms

1,163 studies on the registry are indexed under Triple Negative Breast Neoplasms; 447 are open to participants now.

This study's planned enrollment of 400 is above the median of 193 across 106 observational studies indexed under Triple Negative Breast Neoplasms.

Browse Triple Negative Breast Neoplasms studies →

Lead sponsor

Daiichi Sankyo Europe, GmbH, a Daiichi Sankyo Company is the lead sponsor of 18 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with unresectable or metastatic triple-negative breast cancer who are not candidates for PD-1/PD-L1 inhibitor therapy.

Eligibility criteria

Key Inclusion Criteria:

  • Age ≥18 years at the time of screening
  • Histologically or cytologically documented locally recurrent inoperable or metastatic TNBC defined as:

    • Negative for ER
    • Negative for progesterone receptor
    • Negative for HER2 with 0 or 1+ intensity on IHC or 2+ intensity on IHC and negative by in situ hybridization per the ASCO-CAP HER2 guideline
  • Patients must not be a candidate for PD-1/PD-L1 inhibitor therapy, defined as either the tumor was PD-L1 negative (Combine Positive Score (CPS \< 10), or it was PD-L1 positive (CPS ≥ 10 ) and: have relapsed after prior PD-1/PD-L1 inhibitor therapy for early-stage breast cancer or patient was not eligible for IO therapy due to comorbidities precluding PD-1/PD-L1 inhibitor therapy
  • Patients had not received prior chemotherapy or other systemic anti-cancer therapy for unresectable or metastatic breast cancer
  • Decision to newly initiate therapy Dato-DXd according to the physician's choice per SmPC. If the patient received just one dose of Dato-DXd already, the patient can still be included retrospectively
  • Written and signed Informed Consent (ICF) to participate in the study

Key Exclusion Criteria:

  • Pregnancy or breastfeeding
  • Patients who at time of data collection for this study are participating in an interventional study regardless of whether the study is double blind or open label. Patients that have participated in an interventional study which is completed but remain blinded are also excluded.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
400 participants (estimated)
Patient registry
No

Groups and cohorts

  • Dato-DXd

    Patients with unresectable or metastatic triple-negative breast cancer who are not candidates for PD-1/PD-L1 inhibitor therapy who will be treated with Dato-DXd based on clinical routine care according to the proposed indication statement in the Summary of Product Characteristics (SmPC).

    Drug: Dato-DXd

Interventions

  • This is a non-interventional study and no drug was administered.

06

What researchers measure

Primary outcomes

  1. Real-world Time to Next Treatment (rwTTNT1)

    rwTTNT1 is defined as the length of time from index date to the date the patient received an administration of their next systemic treatment regimen or to their date of death if the patient died before initiation of next systemic treatment.

    Time frame: From index date to time up to approximately 50 months

Secondary outcomes

  1. Treatment Patterns of Neoadjuvant and Adjuvant Therapies

    Time frame: From index date up to approximately 50 months

  2. Real-world Time to Next Treatment 2 (rwTTNT2)

    rwTTNT2 is defined as the time from the start of Dato-DXd administration (1L) to the start of the second subsequent therapy (3L) or death.

    Time frame: From index date up to approximately 50 months

  3. Real-world Time to Permanent Treatment Discontinuation of the Index Treatment (rwTTD1)

    rwTTD1 is defined as the time between start of Dato-DXd administration and last administration or death.

    Time frame: From index date up to approximately 50 months

  4. Reasons for rwTTNT1 and rwTNT2 Event

    rwTTNT1 and rwTNT2 are defined as the number of participants categorized according to the reason for rwTTNT1 or rwTTNT2 event. Reasons may include disease progression, adverse events, death, or others.

    Time frame: From index date up to approximately 50 months

  5. Real-world Overall Survival (rwOS)

    rwOS is defined as time from index date to date of death from any cause.

    Time frame: From index date up to approximately 50 months

  6. Number of Participants Reporting Adverse Events (AEs), Serious Adverse Events (SAEs), Adverse Drug Reactions (ADRs), Serious Adverse Drug Reactions (SADRs), and Adverse Events of Special Interest (AESIs)

    Time frame: From index date up to approximately 50 months

  7. Prophylactic and Reactive Treatments Used for AESI Management

    AESI management is defined as the clinical management of physician-reported adverse events of special interest (AESIs), including prophylactic and reactive interventions. Data collected may include treatment name, dose, frequency, and duration of use.

    Time frame: From index date up to approximately 50 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07867470
Responsible party
Sponsor
First posted
Oct 9, 2026
Start date
Mar 1, 2027 (estimated)
Primary completion
Jan 1, 2031 (estimated)
Completion
Jan 1, 2031 (estimated)
Last update
Oct 9, 2026

Study contacts

Daiichi Sankyo Contact for Clinical Trial Information
Contact
CTRinfo_us@daiichisankyo.com
908-992-6400

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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